CN113349885B - Endoscopic surgery forceps with suction function - Google Patents
Endoscopic surgery forceps with suction function Download PDFInfo
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- CN113349885B CN113349885B CN202110493456.6A CN202110493456A CN113349885B CN 113349885 B CN113349885 B CN 113349885B CN 202110493456 A CN202110493456 A CN 202110493456A CN 113349885 B CN113349885 B CN 113349885B
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
- A61B2017/2932—Transmission of forces to jaw members
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
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Abstract
Description
技术领域technical field
本发明涉及一种手术钳,尤其涉及一种具有吸引功能的腔镜手术钳。The invention relates to a surgical forceps, in particular to a laparoscopic surgical forceps with suction function.
背景技术Background technique
腔镜手术目前应用非常广泛,几乎涵盖了所有的外科范畴。腔镜手术时,由于使用进出器械通道有限,因此钳夹组织(或称活检钳)、分离、切割组织、止血、冲洗、吸引均需要从不同的通道进行,现有的内镜通道只有有限的一二个通道,增加手术用通道并不容易;一般是通过不断更换手术器械的方法进行手术,这大大增加了手术的难度和手术时间,特别是遇到出血等紧急情况是可能会导致严重后果。Laparoscopic surgery is currently widely used, covering almost all surgical areas. During laparoscopic surgery, due to the limited access to instruments, clamping tissue (or called biopsy forceps), separation, tissue cutting, hemostasis, flushing, and suction all need to be carried out from different channels. The existing endoscopic channels only have limited access. One or two channels, it is not easy to increase the channel for surgery; generally, surgery is performed by constantly replacing surgical instruments, which greatly increases the difficulty and time of surgery, especially in emergencies such as bleeding, which may lead to serious consequences .
为了解决这一问题,申请号为201410040683.3的发明专利公开了一种腔镜手术用多功能器械,该器械将拉杆设置为中空的,并在拉杆的前端的侧壁上设置多个小孔,用于吸引手术产生的烟雾,同时具备腔镜手术钳和吸引管两种功能。然而,这样的手术器械也存在以下问题:拉杆上的小孔与钳头前端的距离较远,由于钳头的限制,难以针对特定位置的烟雾进行吸引,且用于吸引的小孔较为分散,吸引力较小。In order to solve this problem, the invention patent with application number 201410040683.3 discloses a multifunctional instrument for endoscopic surgery. It is used to absorb the smoke generated by the operation, and it has two functions of endoscopic surgical forceps and suction tube at the same time. However, such surgical instruments also have the following problems: the distance between the small hole on the pull rod and the front end of the forceps head is relatively long, and due to the limitation of the forceps head, it is difficult to suck the smoke at a specific position, and the small holes for suction are scattered, Less attractive.
发明内容Contents of the invention
鉴于此,本发明的目的在于提供一种具有吸引功能的、便于吸引特定位置的烟雾的腔镜手术钳。In view of this, the object of the present invention is to provide a laparoscopic surgical forceps which has a suction function and is convenient for sucking smoke from a specific position.
本发明为解决其技术问题而采用的技术方案是:The technical scheme that the present invention adopts for solving its technical problem is:
一种具有吸引功能的腔镜手术钳,包括:A laparoscopic surgical forceps with suction function, comprising:
手柄座,所述手柄座上设置有活动手柄;A handle seat, the handle seat is provided with a movable handle;
吸引管,固定于所述的手柄座且吸引管的末端延伸至手柄座之外;a suction tube fixed to the handle base and the end of the suction tube extends out of the handle base;
钳杆,所述的钳杆呈中空管状,所述的钳杆套设于所述吸引管之外且钳杆的末端安装于所述的手柄座;A clamp rod, the clamp rod is hollow tubular, the clamp rod is sleeved outside the suction tube and the end of the clamp rod is installed on the handle seat;
钳头,包括铰接于所述钳杆首端的第一夹头和第二夹头,所述第一夹头的朝向第二夹头的一侧和/或第二夹头的朝向第一夹头的一侧设置有导气槽,所述的第一夹头和第二夹头转动合拢时,所述的第一夹头、第二夹头均与所述吸引管的端面抵接,且第一夹头和第二夹头之间的导气槽形成与所述吸引管导通的吸引孔;The jaw includes a first jaw and a second jaw hinged at the head end of the pliers rod, the side of the first jaw facing the second jaw and/or the side of the second jaw facing the first jaw One side of the suction pipe is provided with an air guide groove. When the first chuck and the second chuck are rotated and closed, the first chuck and the second chuck are in contact with the end surface of the suction tube, and the second chuck The air guide groove between the first clamp and the second clamp forms a suction hole connected with the suction tube;
推杆,所述的推杆呈中空管状并套设于所述的钳杆和吸引管之间,所述的活动手柄与所述的推杆连接以使所述活动手柄运动时能够驱动所述的推杆轴向移动,所述第一夹头和第二夹头分别通过传动机构与所述推杆连接以使所述的推杆轴向移动时能够驱动第一夹头和第二夹头同时张合。Push rod, the push rod is hollow tubular and sleeved between the forceps rod and the suction tube, the movable handle is connected with the push rod so that the movable handle can drive the The push rod moves axially, and the first chuck and the second chuck are respectively connected with the push rod through a transmission mechanism so that the push rod can drive the first chuck and the second chuck when the push rod moves axially Open and close at the same time.
作为优选地,所述第一夹头与所述吸引管的端面之间、所述第二夹头与所述吸引管的端面之间均设置有软胶垫。Preferably, soft rubber pads are provided between the first clamp and the end surface of the suction tube, and between the second clamp and the end surface of the suction tube.
作为优选地,所述第一夹头与所述推杆之间的传动机构为第一传动机构,所述第一传动机构包括设置于所述第一夹头的第一齿轮、以及间隔设置于所述推杆外侧壁的并与所述第一齿轮啮合的若干个首端齿牙。Preferably, the transmission mechanism between the first chuck and the push rod is a first transmission mechanism, and the first transmission mechanism includes a first gear arranged on the first chuck, and a gear set at intervals between Several teeth at the first end of the outer wall of the push rod and meshed with the first gear.
作为优选地,所述第二夹头与所述推杆之间的传动机构为第二传动机构,所述第二传动机构包括设置于所述第二夹头的第二齿轮、以及间隔设置于所述推杆外侧壁的并与所述第二齿轮啮合的若干个首端齿牙。Preferably, the transmission mechanism between the second chuck and the push rod is a second transmission mechanism, and the second transmission mechanism includes a second gear arranged on the second chuck, and a second gear arranged at intervals between A plurality of teeth at the first end of the outer wall of the push rod and meshed with the second gear.
作为优选地,所述的活动手柄与所述的手柄座铰接,所述活动手柄外侧壁上间隔设置有绕着其轴线的圆周分布的若干个手柄齿,所述推杆的外侧壁设置有与所述手柄齿啮合的若干个末端齿牙。Preferably, the movable handle is hinged to the handle base, and the outer wall of the movable handle is provided with several handle teeth distributed around the circumference of its axis at intervals, and the outer wall of the push rod is provided with The handle teeth engage several terminal teeth.
作为优选地,所述的钳杆与所述的手柄座转动连接以使所述的钳杆和钳头能够绕着钳杆的轴线转动,所述的钳杆和所述推杆之间设置有能够限制二者相对转动的防转结构。Preferably, the pliers rod is rotatably connected with the handle base so that the pliers rod and the pliers head can rotate around the axis of the pliers rod, and a An anti-rotation structure that can limit the relative rotation of the two.
作为优选地,所述的防转结构包括设置于所述推杆上的限位平台,与所述第一齿轮啮合的首端齿牙设置于所述的限位平台。Preferably, the anti-rotation structure includes a limiting platform provided on the push rod, and the teeth at the first end meshed with the first gear are arranged on the limiting platform.
作为优选地,所述的钳杆上固定设置有能够驱动其相对于手柄座转动的旋拧座。Preferably, the tong rod is fixedly provided with a screw seat capable of driving it to rotate relative to the handle seat.
作为优选地,所述的手柄座上还设置有固定手柄,所述固定手柄与活动手柄上均设置有供人的手指穿入的套环。Preferably, a fixed handle is further provided on the handle base, and a loop for people's fingers to penetrate is provided on both the fixed handle and the movable handle.
作为优选地,所述的手柄座上设置有与所述钳头导电连接的电极。Preferably, the handle base is provided with electrodes electrically connected to the pliers head.
作为优选地,所述的第一夹头和第二夹头之间设置有能够在二者合拢时限制二者张开的阻尼装置。Preferably, a damping device capable of restricting the opening of the first clamp and the second clamp is provided between the first clamp and the second clamp.
作为优选地,第一夹头和第二夹头上均设置有导气槽,第一夹头上设置有与其上的导气槽导通的第一侧向通孔,所述第二夹头上设置有与其上的导气槽导通的第二侧向通孔。Preferably, both the first chuck and the second chuck are provided with air guide grooves, and the first chuck is provided with a first lateral through hole communicating with the air guide groove on the first chuck, and the second chuck A second lateral through hole communicating with the air guide groove on the top is provided.
本发明的有益效果是:使用本发明的手术钳时,通过活动手柄驱动推杆轴向移动,可驱动第一夹头和第二夹头同时张合,使钳头在张开和合拢两个状态之间切换,进而实现钳夹组织的功能。手术的过程中,吸引管的末端连接真空吸引瓶的管道,即可实现吸引功能,第一夹头和第二夹头张开时,吸引管的首端外露,吸引管的首端口充当吸引的入口;需要对特定位置的烟雾进行吸引时,可通过活动手柄驱动第一夹头和第二夹头合拢,此时,形成于第一夹头和第二夹头之间的吸引孔充当吸引入口,使夹头靠近目的位置,并使吸引入口对准目的位置,即可在目的位置产生强大的吸力,快速地将目的位置的烟雾吸除。The beneficial effect of the present invention is: when using the surgical forceps of the present invention, the push rod can be driven to move axially through the movable handle, and the first chuck and the second chuck can be driven to open and close at the same time, so that the forceps can be opened and closed at the same time. Switch between states, and then realize the function of clamping tissue. During the operation, the end of the suction tube is connected to the pipeline of the vacuum suction bottle to realize the suction function. When the first chuck and the second chuck are opened, the first end of the suction tube is exposed, and the first port of the suction tube acts as the suction inlet; When it is necessary to suck the smoke at a specific position, the movable handle can be used to drive the first clamp and the second clamp to close together. At this time, the suction hole formed between the first clamp and the second clamp acts as a suction inlet, so that The chuck is close to the target position, and the suction inlet is aligned with the target position, so that a strong suction force can be generated at the target position, and the smoke at the target position can be quickly sucked away.
附图说明Description of drawings
图1是钳头处于张开状态时本发明的剖视图;Fig. 1 is a sectional view of the present invention when the pliers head is in an open state;
图2是钳头处于张开状态时本发明前端部的立体图;Fig. 2 is a perspective view of the front end of the present invention when the pliers are in an open state;
图3是钳头处于张开状态时本发明前端部的剖视图;Fig. 3 is a cross-sectional view of the front end of the present invention when the pliers head is in an open state;
图4是钳头处于合拢状态时本发明前端部的剖视图;Fig. 4 is a cross-sectional view of the front end of the present invention when the pliers are in a closed state;
图5是图1中A部分发放大图;Fig. 5 is a large-scale distribution diagram of part A in Fig. 1;
图6是推杆的第一种方案的立体图;Fig. 6 is a perspective view of the first scheme of the push rod;
图7是推杆的第二种方案的立体图。Fig. 7 is a perspective view of the second solution of the push rod.
具体实施方式Detailed ways
下面将结合附图,对本发明实施例中的技术方案进行清楚、完整地描述。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings.
需要说明,本发明实施例中所有方向性指示(诸如上、下、左、右、前、后…)仅用于解释在某一特定姿态(如附图所示)下各部件之间的相对位置关系、运动情况等,如果该特定姿态发生改变时,则该方向性指示也相应地随之改变。另外,在本发明中涉及“优选”、“次优选”等的描述仅用于描述目的,而不能理解为指示或暗示其相对重要性或者隐含指明所指示的技术特征的数量。由此,限定有“优选”、“次优选”的特征可以明示或者隐含地包括至少一个该特征。It should be noted that all directional indications (such as up, down, left, right, front, back...) in the embodiments of the present invention are only used to explain the relative relationship between the components in a certain posture (as shown in the accompanying drawings). When the positional relationship, movement conditions, etc., if the specific posture changes, the directional indication will also change accordingly. In addition, descriptions involving "preferred", "secondary preferred" and the like in the present invention are only for descriptive purposes, and should not be understood as indicating or implying their relative importance or implicitly specifying the quantity of indicated technical features. Thus, features defined as "preferred" and "less preferred" may explicitly or implicitly include at least one of these features.
参照图1至图7,本发明的实施例提出了一种具有吸引功能的腔镜手术钳,包括:手柄座1、吸引管2、钳杆3、钳头、以及推杆5。手柄座1上设置有活动手柄11;吸引管2固定于手柄座1且吸引管2的末端延伸至手柄座1之外;钳杆3呈中空管状,钳杆3套设于吸引管2之外且钳杆3的末端安装于手柄座1;钳头包括铰接于钳杆3首端的第一夹头41和第二夹头42,第一夹头41的朝向第二夹头42的一侧和/或第二夹头42的朝向第一夹头41的一侧设置有导气槽402,第一夹头41和第二夹头42转动合拢时,第一夹头41、第二夹头42均与吸引管2的端面抵接,且第一夹头41和第二夹头42之间的导气槽402形成贯穿钳头的并与吸引管2导通的吸引孔43;推杆5呈中空管状并套设于钳杆3和吸引管2之间,活动手柄11与推杆5连接以使活动手柄11运动时能够驱动推杆5轴向移动,第一夹头41和第二夹头42分别通过传动机构与推杆5连接以使推杆5轴向移动时能够驱动第一夹头41和第二夹头42同时张合。Referring to FIG. 1 to FIG. 7 , an embodiment of the present invention proposes an endoscopic surgical forceps with suction function, including: a handle base 1 , a suction tube 2 , a forceps rod 3 , a forceps head, and a push rod 5 . The handle base 1 is provided with a
活动手柄11可以设计为可沿着钳杆3的轴向前后移动的,亦可以设置为可相对于手柄座1转动的。The
使用本发明的手术钳时,通过活动手柄11驱动推杆5轴向移动,可驱动第一夹头41和第二夹头42同时张合,使钳头在张开和合拢两个状态之间切换,进而实现钳夹组织的功能。手术的过程中,吸引管2的末端连接真空吸引瓶的管道,即可实现吸引功能,第一夹头41和第二夹头42张开时,吸引管2的首端外露,吸引管2的首端口充当吸引的入口;需要对特定位置的烟雾进行吸引时,可通过活动手柄11驱动第一夹头41和第二夹头42合拢,此时,形成于第一夹头41和第二夹头42之间的吸引孔43充当吸引入口,使夹头靠近目的位置,并使吸引入口对准目的位置,即可在目的位置产生强大的吸力,快速地将目的位置的烟雾吸除。When using the surgical forceps of the present invention, the push rod 5 is driven to move axially through the
进一步地,第一夹头41与吸引管2的端面之间、第二夹头42与吸引管2的端面之间均设置有软胶垫9。第一夹头41、第二夹头42上均设置有用于压紧吸引管2的平面,软胶垫9固定设置在第一夹头41和第二夹头42的该平面上。第一夹头41、第二夹头42合拢时,软胶垫9既可起到缓冲的作用,又可起到密封的作用,提升吸力。Further,
为了便于区分,我们定义第一夹头41与推杆5之间的传动机构为第一传动机构,第二夹头42与推杆5之间的传动机构为第二传动机构。For the sake of distinction, we define the transmission mechanism between the
在本发明的一种优选方案中,第一传动机构包括设置于第一夹头41的第一齿轮411、以及间隔设置于推杆5外侧壁的并与第一齿轮411啮合的若干个首端齿牙51。第二夹头42与推杆5之间的传动机构为第二传动机构,第二传动机构包括设置于第二夹头42的第二齿轮421、以及间隔设置于推杆5外侧壁的并与第二齿轮421啮合的若干个首端齿牙51。In a preferred solution of the present invention, the first transmission mechanism includes a
图6与图7公开了首端齿牙51的两种设计方案。一、首端齿牙51有为沿着推杆5的周向设置的环形牙,此时,与第一齿轮411、第二齿轮421啮合的首端齿牙51相同;二、推杆5的上下两侧分别设置有首端齿牙51,第一齿轮411、第二齿轮421分别与两组首端齿牙51啮合。FIG. 6 and FIG. 7 disclose two design schemes of the
在本发明的一种优选方案中,活动手柄11与手柄座1铰接,活动手柄11外侧壁上间隔设置有绕着其轴线的圆周分布的若干个手柄齿111,推杆5的外侧壁设置有与手柄齿111啮合的若干个末端齿牙52。活动手柄11转动时,手柄齿111推顶末端齿牙52,进而驱动推杆5沿着轴向前后移动。In a preferred solution of the present invention, the
在本发明的某些方案中,活动手柄11与推杆5也可以采用如下的连接结构,比如:活动手柄11与手柄座1铰接,通过活动手柄11通过两根连杆与推杆5连接,二者之间构成一曲柄滑块机构;再比如,活动手柄11设置为可前后移动的,同时通过连接件将活动手柄11和推杆5固定连接。In some solutions of the present invention, the
在本发明的一种方案中,钳杆3与手柄座1固定连接,钳杆3和钳头均不可转动。In one solution of the present invention, the pliers rod 3 is fixedly connected to the handle base 1, and neither the pliers rod 3 nor the pliers head can rotate.
在本发明的另一种方案中,手柄座1上固定设置有转动套7,钳杆3的末端转动安装于该转动套7,通过这样的结构使钳杆3与手柄座1转动连接且钳杆3和钳头能够绕着钳杆3的轴线转动。通过转动钳杆3,即可调节钳头的钳夹方向。In another solution of the present invention, a rotating sleeve 7 is fixedly arranged on the handle base 1, and the end of the pliers rod 3 is rotatably mounted on the rotating sleeve 7. Through such a structure, the pliers rod 3 is rotationally connected with the handle base 1 and the pliers The rod 3 and the pliers head can rotate around the axis of the pliers rod 3 . By rotating the clamp lever 3, the clamping direction of the clamp head can be adjusted.
为了便于转动钳杆3和钳头,钳杆3上固定设置有能够驱动其相对于手柄座1转动的旋拧座6。In order to facilitate the rotation of the pliers rod 3 and the pliers head, the pliers rod 3 is fixedly provided with a screw seat 6 capable of driving it to rotate relative to the handle base 1 .
进一步地,钳杆3和推杆5之间设置有能够限制二者相对转动的防转结构。当推杆5的首端采用图7所示的结构时,推杆5的上下两侧分别设置有一组首端齿牙51,第一齿轮411、第二齿轮421分别与两组首端齿牙51啮合。防转结构的设置,则可以避免钳杆3和推杆5相对转动而使第一齿轮411、第二齿轮421分别脱离对应的首端齿牙51。Further, an anti-rotation structure capable of restricting the relative rotation of the two is provided between the pliers rod 3 and the push rod 5 . When the head end of the push rod 5 adopts the structure shown in Figure 7, a set of
作为防转结构的一种优选方案,防转结构包括设置于推杆5上的限位平台53,与第一齿轮411啮合的首端齿牙51设置于限位平台53。将这些首端齿牙51设置在限位平台53上,第一齿轮411与首端齿牙51啮合时,能够限制推杆5绕着其轴线相对于钳杆3转动。本方案中,为了方便加工,可以在推杆5的另一侧设置对称的平台结构,并在该平台上设置与第二齿轮421啮合的首端齿牙。转动钳杆3时,推杆5也相对于活动手柄11转动,因此,可以将末端齿牙52设置为沿着推杆5的周向设置的环形牙。As a preferred solution of the anti-rotation structure, the anti-rotation structure includes a limiting
作为防转结构的另一种方案,亦可以将钳杆3的内孔设置为4方孔、6方孔、8方孔等形状,推杆5则设置为相应地棱柱形管状以限制推杆5相对于钳杆3转动。As another solution of the anti-rotation structure, the inner hole of the pincer rod 3 can also be set to 4 square holes, 6 square holes, 8 square holes, etc., and the push rod 5 is set to a corresponding prismatic tubular shape to limit the rotation of the push rod. 5 rotates relative to the pincer rod 3.
为了便于人手操作活动手柄11,手柄座1上还设置有固定手柄12,固定手柄12与活动手柄11上均设置有供人的手指穿入的套环101。In order to facilitate manual operation of the
进一步地,手柄座1上设置有与钳头导电连接的电极8。钳头和电极8可采用以下的通电方案:推杆5、钳头的第一夹头41和第二夹头42均采用导电材料制成,电极8和推杆5则通过导线连接。钳夹组织的同时对组织进行电击,可有效地止血。Further, the handle base 1 is provided with an
进一步地,第一夹头41和第二夹头42之间设置有能够在二者合拢时限制二者张开的阻尼装置。Further, a damping device capable of restricting the opening of the
优选地,阻尼装置包括设置于第一夹头41上的磁体未图示和设置于第二夹头42上的并能由磁体吸引的磁吸件未图示。磁吸件可以是能够被磁体吸引的铁块、也可以是与该磁体磁性相反的磁性件。在磁体和磁吸件之间的磁力作用下,便于使第一夹头41和第二夹头42保持合拢状态,进而保持较大的吸引力来吸引烟雾。Preferably, the damping device includes a magnet (not shown) disposed on the
进一步地,第一夹头41和第二夹头42)均设置有导气槽,第一夹头41上设置有与其上的导气槽402导通的第一侧向通孔412,第二夹头42上设置有与其上的导气槽402导通的第二侧向通孔422。第一夹头41和第二夹头合拢时,第一侧向通孔412、第二侧向通孔422充当吸引孔43的辅助进气口,当吸引孔43的入口顶到组织时,可避免吸引孔43被堵死。Further, the
以上仅为本发明的优选实施例,并非因此限制本发明的专利范围,凡是在本发明的发明构思下,利用本发明说明书及附图内容所作的等效结构变换,或直接或间接运用在其他相关的技术领域均包括在本发明的专利保护范围内。The above are only preferred embodiments of the present invention, and are not intended to limit the patent scope of the present invention. Under the inventive concept of the present invention, the equivalent structural transformation made by using the description of the present invention and the contents of the accompanying drawings, or directly or indirectly used in other All relevant technical fields are included in the patent protection scope of the present invention.
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